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  • 1
    Digitale Medien
    Digitale Medien
    Outcomes of severe pre-eclampsia/eclampsia in Yorkshire 1999/2003 (2005)
    Oxford, UK and Malden, USA : Blackwell Science Ltd
    BJOG 112 (2005), S. 0 
    Details
    ISSN: 1471-0528
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Objective  To establish the risk of serious complications from severe pre-eclampsia and eclampsia in a region using a common guideline for the management of these conditions.Design  A five-year prospective study.Setting  Sixteen maternity units in Yorkshire.Population  All women managed with severe pre-eclampsia and eclampsia.Methods  A common guideline was developed for the management of women with these conditions. A network of midwives prospectively collected outcome data.Main outcome measure  Incidence of the conditions and serious complication rates.Results  A total of 210,631 women delivered in the 16 units between 1 January 1999 and 31 December 2003. One thousand eighty-seven women were diagnosed with severe pre-eclampsia or eclampsia (5.2/1000). One hundred and fifty-one women had serious complications including 82 women (39/10,000) having eclamptic seizures and 49 women (23/10,000) requiring ICU admission. There were no maternal deaths but 54 out of 1145 babies died before discharge, giving a mortality rate of 47.2/1000. Of the 82 cases of eclampsia, 45 occurred antenatally (55%), 18 before admission to the maternity unit. Eleven cases occurred in labour (13%), including 1 during a caesarean section, and 26 cases occurred following delivery (32%). Twenty-five women developed pulmonary oedema (2.3% of cases) and six women required renal dialysis (0.55% of cases). One hundred and sixty-five (15%) required no antihypertensive therapy and 489 (53%) of the remainder required only oral therapy. Two hundred and one (18.5%) required more than one drug.Conclusion  A regional guideline for severe pre-eclampsia and eclampsia can be developed and implemented. Its use may contribute to a low rate of serious complications.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1471-0528.2005.00565.x
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  • 2
    Digitale Medien
    Digitale Medien
    A comparison of 25G and 27G Whitacre needles for Caesarean section (1995)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 50 (1995), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1995.tb04581.x
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  • 3
    Digitale Medien
    Digitale Medien
    Possible subarachnoid migration of an epidural catheter (1986)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 41 (1986), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1986.tb13070.x
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  • 4
    Digitale Medien
    Digitale Medien
    Spinal anaesthesia with hyperbaric lignocaine for elective Caesarean section (1986)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 41 (1986), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: This study was carried out in 30 patients undergoing elective Caesarean section to assess the predictability and reliability of spinal anaesthesia with 5% hyperbaric lignocaine, with a view to incorporating the technique in our failed intubation drill. The spinal was performed with a 25-gauge needle in either the sitting (15 patients) or left lateral position (15 patients). The speed of onset of anaesthesia to T6 was significantly faster (p 〈 0.01) in the lateral group. but the duration of action was similar in both groups. Twelve patients had hypotension and four developed severe postspinal headaches. The block progressed to the C2 dermatome in four patients and was associated with dysphagia. This was totally unpredictable and may be due to altered cerebrospinal fluid dynamics in late pregnancy. Therefore, the use of spinal anaesthesia with heavy lignocaine may be inadvisable in obstetric patients, especially following failed intubation.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1986.tb12913.x
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  • 5
    Digitale Medien
    Digitale Medien
    Difficult intubation in obstetrics (1986)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 41 (1986), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1986.tb12948.x
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  • 6
    Digitale Medien
    Digitale Medien
    Sleep and comfort after Caesarean section (1986)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 41 (1986), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: To compare postoperative well-being after general and epidural anaesthesia. 58 women undergoing Caesarean section were divided into a general anaesthetic group receiving intramuscular opioid postoperatively (26). and an epidural group receiving morphine via the epidural route (32). The epidural group required less analgesia (p 〈 0.01 at 0.5 and 8 hours, p 〈 0.001 at 4 hours). There was no difference in the use of oral analgesics. At 1,4 and 24 hours after delivery more patients in the general anaesthesia group described themselves as very comfortable (p 〈 0.05). More in the epidural group had a very good night's sleep during each night studied. Patients in the epidural group were slower to use the ward toilet (p 〈 0.01) and had more itching (p 〈 0.001). Our conclusion is that patients progressed well in both groups.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1986.tb12967.x
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  • 7
    Digitale Medien
    Digitale Medien
    Failed intubation (1985)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 40 (1985), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Between 1978 and 1983, the tracheas of eight patients could not be intubated in the maternity unit of St James' University Hospital, Leeds. The incidence of failed intubation on our labour ward is approximately one for every 300 general anaesthetics given. The results of postoperative investigations in these patients are reported.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1985.tb11000.x
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  • 8
    Digitale Medien
    Digitale Medien
    Difficult intubation in obstetrics (1985)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 40 (1985), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1985.tb10562.x
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  • 9
    Digitale Medien
    Digitale Medien
    Unpredictable spread of heavy lignocaine (1985)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 40 (1985), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1365-2044.1985.tb10566.x
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  • 10
    Digitale Medien
    Digitale Medien
    Anaesthesia for Caesarean section in a patient with Charcot–Marie-Tooth disease (1998)
    Oxford : Blackwell Science Ltd, UK
    Anaesthesia 53 (1998), S. 0 
    Details
    ISSN: 1365-2044
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: We describe the management of a 25-year-old primigravida with severe respiratory insufficiency secondary to Charcot-Marie-Tooth disease type I scheduled for Caesarean section. Incremental subarachnoid anaesthesia via a microcatheter was utilised. Mother and baby made an uneventful recovery and were discharged home on the tenth postoperative day.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1046/j.1365-2044.1998.00432.x
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